Feocromocitoma: Cirugía urgente vs Cirugía programada
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https://doi.org/10.30445/rear.v12i10.861Palabras clave:
Feocromocitoma, Anestesia, Crisis hipertensivaResumen
El feocromocitoma es un tumor de células cromafines localizado preferentemente en la cavidad abdominal y en particular en la glándula suprarrenal. Clínicamente puede ser asintomático o presentarse con una amplia variedad de síntomas, dada su capacidad de secretar catecolaminas, tales como hipertensión arterial junto con la triada clásica de cefalea, hiperhidrosis y taquicardia. A continuación, presentamos un caso clínico de un paciente de sexo masculino, de 24 años, que debuta con pérdida de fuerza en extremidades derechas tras crisis hipertensiva y hematoma en ganglios basales, al cual se tiene que intervenir de urgencia bajo la sospecha de tumor feocromocitoma, con posterior diagnóstico, preparación prequirúrgica meticulosa y cirugía programada del mismo.
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- Benowitz NL. Pheochromocytoma-recent advances in diagnosis and treatment. West J Med. 1988;148:561–7.
- Ahmed A. Perioperative Management of Pheochromocytoma: Anaesthetic Implications. J Pak Med Association. 2007;57 :3.
- Hayıroğlu M, Yıldırımtürk O, Bozbay M. Hypertensive emergency due to pheochromocytoma crisis complicated with refractory hemodynamic collapse. Turk Kardiyol Dern Ars 2015;43(8):727-729.
- Kakoki1 K, Miyata1 Y, Shida1 Y, Hakariya1 T. Pheochromocytoma multisystem crisis treated with emergency surgery: a case report and literature review. 2015 8: 758.
- Abhijit L, Lakireddy V. A Narrative Review of Cardiovascular Abnormalities After Spontaneous Intracerebral Hemorrhage. Jorney of Neurosurgery Anesthesiology 2019;31:199–21.
- Jean L. Joris, M, Etienne E, Hamoir, MD. Hemodynamic Changes and Catecholamine Release During Laparoscopic Adrenalectomy for Pheochromocytoma. Anesthesia and Analgesia. 1999;88:16–21.
- Kercher KW, Novitsky YW, Park A. Laparoscopic curative resection of phochromocytomas. Ann Surg 2005; 241:919.
- Rocha F, Faramazi – Roques R. Laparoscopic surgery for pheochromocytoma. Eur Urol 2004; 45: 226.
- Cenic A, Craen RA, Lee TY, Gelb AW. Cerebral blood volume and blood flow responses to hyperventilation in brain tumors during isoflurane or propofol anesthesia. Anesth Analg 2002; 94:661.
- Houston M: The role of magnesium in hypertension and cardiovascular disease. J Clin Hypertens (Greenwich) 13:843-847, 2011.
- Michael S. Perioperative Management of Pheochromocytoma: Focus on magnesium, clevidipine and vasopressin. Jornal of Cardiothoracic and vascular anesthesia. 202; 26: 526-531.
- Siddiqi HK, Yang HY, Laird AM, et al. Utility of oral nicardipine and magnesium sulfate infusion during preparation and resection of pheochromocytomas. Surgery 2012; 152:1027.
- Naranjo J, Dodd S, Martin YN. Perioperative Management of Pheochromocytoma. J Cardiothorac Vasc Anesth 2017; 31:1427.
https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/43
- Weingarten TN, Welch TL, Moore TL, et al. Preoperative Levels of Catecholamines and Metanephrines and Intraoperative Hemodynamics of Patients Undergoing Pheochromocytoma and Paraganglioma Resection. Urology 2017; 100:131.
https://www-uptodate-com.m-hdoct.a17.csinet.es/contents/anesthesia-for-the-adult-with-pheochromocytoma/abstract/44
- Wu S, Chen W, Shen L, et al. Risk factors for prolonged hypotension in patients with pheochromocytoma undergoing laparoscopic adrenalectomy: a single-center retrospective study. Sci Rep 2017; 7:5897.
- Fleisher L, Mythen M. Anesthetic implications of concurrent diseases. In: Miller's Anesthesia, 8th ed, Miller RD, Cohen NH, Eriksson LI, et al (Eds), Elsevier, Philadelphia 2015. p.1170.
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